Manager/Senior Manager - Health Claims - Doctors BAMS or BHMS

0 years

0 Lacs

Posted:2 weeks ago| Platform: Shine logo

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Work Mode

On-site

Job Type

Full Time

Job Description

JOB RESPONSIBILITIES:


Applying medical knowledge in evaluating the medical claim files to ascertain the medical admissibility. Must understand the policy wordings including Terms && conditions to adjudicate theAdmissibility/Rejection.Processing of claims as per regulatory guidelines. Adhering to the TATs in processing.Quality review of processed files. Grievance redressal, handling escalations and identifying the fraudulent claims.

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